• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Waiting for 2nd Hbac1 test

Ali58

Member
Messages
13
Type of diabetes
Type 2
Treatment type
Other
I’ve been pre-diabetic for about 4 years, I recently had a fresh HBac1 test, result of 49 mmol. I have a second HBac1 blood test booked for 9th January. If it’s the same result, does that mean I’m Diabetic. If I am what would treatment look like? Feeling quite scared.
 
Hi @Ali58 and welcome to the forum. You will see from this link that pre diabetes is 42 - 47, so your 49 is only just into the diabetes range, scroll down to the red box:
If your second test is similar then yes, you would be diagnosed with diabetes, however with an HbA1c of that level you could almost certainly control it by tweaking your diet.
 
I know this is easy to say, but don't worry, it causes stress, and that in itself is bad for your blood sugar levels..

If you have the same number in Jan, then you're still pre-diabetic, which is a good thing.

A little change to your diet would hopefully keep you at that level.
 
If you have the same number in Jan, then you're still pre-diabetic, which is a good thing
Sorry to correct you but 49 (in the U.K. at least) is just into the diabetic range.
 
I’ve been pre-diabetic for about 4 years, I recently had a fresh HBac1 test, result of 49 mmol. I have a second HBac1 blood test booked for 9th January. If it’s the same result, does that mean I’m Diabetic. If I am what would treatment look like? Feeling quite scared.
Yes, you would be automatically diagnosed at that point. The second test is a check of the first, which they do if you're close to the line (there's a bit of allowable error).

If diagnosed, you might be offered metformin. This interferes with your liver adding glucose to your bloodstream (livers do this all the time - it's perfectly normal) and you might see a small blood glucose fall as a result. I can't really speak to the experience because I have never taken metformin, but there are fairly common and well known side-effects.

What I did the day I was diagnosed was to begin a low-carb (very low carb, in my case) approach. This reduces the amount of digestable carb you take in (all such carb is digested to glucose) and therefore takes a lot of the pressure off both your insulin response system and the possible damage that high blood glucose levels can do to nerves and capillaries. In my case I had an HbA1c of 36 four months after diagnosis and almost all my symptoms had gone.

You might want to look at the "success stories" part of this forum - it's full of the experiences of real people who've had a lot of success managing this condition.
 
Back
Top